| Consolidated Tribal Health Project Inc | |
|
6991 N State St Redwood Valley CA 95470-9629 | |
| (707) 485-5115 | |
| (707) 485-5127 |
| Full Name | Consolidated Tribal Health Project Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6991 N State St, Redwood Valley, California |
| Authorized Official Name and Position | Mary Ann Nmn Gonzalez (CLINIC DIRECTOR) |
| Authorized Official Contact | 7074855115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Tribal Health Project Inc Po Box 387 Calpella CA 95418-0387 Ph: (707) 485-5115 | Consolidated Tribal Health Project Inc 6991 N State St Redwood Valley CA 95470-9629 Ph: (707) 485-5115 |
| NPI Number | 1124046842 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124046842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000459 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 19569 (California) | Primary |
Consolidated Tribal Health Project Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6991 N State St, Redwood Valley, CA 95470 Phone: 707-485-5115 |